RAPID CITY SMILES- IMPLANT & FAMILY DENTISTRY
NPI: 1942880471
· RAPID CITY, SD 57701
· General Practice Dentistry
· NPI assigned 04/09/2021
Provider Details
| Authorized Official | GRAVES, DANIEL (OWNER) |
| NPI Enumeration Date | 04/09/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
33 |
$1K |
| 2022 |
309 |
$11K |
| 2023 |
88 |
$904.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
206 |
206 |
$5K |
| D1110 |
Prophylaxis - adult |
87 |
87 |
$4K |
| D1206 |
Topical application of fluoride varnish |
82 |
82 |
$2K |
| D1120 |
Prophylaxis - child |
38 |
38 |
$2K |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$557.14 |